Quality Framework for Mental Health Services in Ireland

Report
Mental Health Act 2001
Meeting the Challenge
of
Building a person-centred mental
health service for people with
intellectual disabilities
25th October 2006
Presentation Overview
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Mental Health Policy / Legislation
Mental Health Act 2001 - outline
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Implementation Milestones
Key Principles of the Act
Key definitions
Mental Health Commission (About Us)
Implications of the Act for People with
intellectual disabilities & mental health issues
Mental Health Policy, Legislation and
Mental Health Services
Expert Group on
European
Convention on
Human Rights
Mental Health
Policy – A Vision
for Change
E.U. Green
Paper on
Mental Health
Mental
Health
Mental
Health
Policy,
Policy,
Legislationand
and
Legislation
Services
Services
W.H.O. 2001 Report
U.N. M.I.
Principles
Mental Health
Act 2001
Provisions of the Act
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Part 1: Preliminary & General
Part 2: Involuntary Admission of Persons to
Approved Centres
Part 3: Independent Review of Detention
Part 4: Consent to Treatment
Part 5: Approved Centres
Part 6: Miscellaneous
Implementation Milestones
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The Mental Health Commission was established in
April 2002 when the Minister for Health and Children
signed the Commencement Order in relation to
sections 1 to 5, 7, 31 to 55 (Part 3) of the Mental
Health Act 2001.
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2nd August 2006: Mental Health Act 2001
(Commencement) Order 2006 bringing into
operation the remaining provisions (section 6, 8 to
30 & 56 to 75 inclusive) of the Mental Health Act
2001 with effect from 1st November 2006.
Key Principles of the Act
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Best Interests of the Person (Section 4)
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Quality & Best Practice
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Right to Information and Representation
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Second Opinions and Review Systems
Key Definitions
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Mental Health Service
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Patient
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A service which provides care and treatment to
persons suffering from a mental illness or a mental
disorder under the clinical direction of a consultant
psychiatrist (S.62)
To be construed in accordance with section 14 (S.2)
A person to whom an admission order relates (S.14)
Resident
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A person receiving care and treatment in a centre
(S.62)
Key definitions
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Approved Centre
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A “centre” means a hospital or other in-patient
facility for the care and treatment of persons
suffering from mental illness or mental disorder.
An “approved” centre is a centre that is registered
pursuant to the Act
The Commission establishes and maintains the
register of approved centres pursuant to the Act
(S.62)
Legal Definition of a Mental Disorder [S.(3)(1) MHA 2001]
Mental illness, severe dementia or significant intellectual
disability
WHERE
A. Because of the illness, OR B. Because of the illness, dementia or
dementia or disability:
there is a serious
likelihood of the person
concerned causing
immediate & serious
harm to himself or
herself or other persons
disability:
The judgment of the person concerned
is so impaired that failure to admit the
person to an approved centre would be
likely to lead to a serious deterioration
of his or her condition or would prevent
the administration of appropriate
treatment that could be given only by
such admission and the reception,
detention and treatment of the person
concerned in an approved centre would
be likely to benefit or alleviate the
condition of that person to a material
extent.
Mental Health Commission- About Us

Commission is an independent statutory body
established under Section 32
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The Commission consists of 13 members (S.35)
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Chief Executive Officer (S.38)
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Inspector of Mental Health Services (S.50)
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Staff (S.39)
Commission Mandate
The Commission’s mandate covers:
• the broad spectrum of mental health services
from childhood through to adulthood to later life,
including specialisms such as
• forensic mental health services, and
• mental health services for people with an intellectual
disability
Functions

High standards & good practices in the delivery of
mental health services
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Protect interests of persons detained in approved
centres under the Act
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Review of detention
Rules
Regulations (compliance)
Registration
Codes of Practice
A Quality Mental Health Service:
[Quality in mental health – your views (MHC 2005)]
1.
Facilitates respectful and empathetic
relationships between people using the service,
their families, parents and carers, and those
providing it
2.
Empowers people who use mental health
services, and their families, parents and carers
3.
Provides a holistic, seamless service and
encompasses the full continuum of care
4.
Is equitable and accessible
Quality Themes
5.
Is provided in a high quality environment, which
respects the dignity of the individual, his/her
carers and family
6.
Has effective management and leadership
7.
Is delivered by highly skilled multidisciplinary
teams
8.
Is based on best practice and incorporates
systems for evaluation and review
Quality Framework - Scope
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A framework for continuously improving quality in
mental health services in Ireland
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Applicable to all mental health services irrespective
of where they are being delivered
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Flexible
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Standards non - prescriptive
Quality Framework - Objectives
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Service users/families
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What to expect from a MHS
Opportunity for service user feedback
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Quality improvement
 Self monitoring of performance
 Driver for change – policies/practice/structures
 Provide consistency
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Development
 Focus on results
 Generate real improvements in MHS
Service
Monitoring
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Transparent mechanism for evaluating quality of MHS provision
in Ireland for the first time
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Service users / MHC / HSE
Next Steps
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1st November 2006
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Registration, Rules, Regulations, Review
Codes of Practice
Information provision
2007
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Commence formal ‘roll-out’ of Quality Framework
for Mental Health Services
Consultation: relevant criteria for services
Standards: Disability services & Mental health
services
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Collaboration & consultation
Avoid duplication
Thank you
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Mental Health Act 2001 Information
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English (NALA approved)
Irish
French
Arabic
Simple chinese
Russian
Polish
E-learning programme
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English
Irish sign language
Audio
www.mhcirl.ie
“… the last thing we need is the creation of some new
Frankenstein’s monster in the shape of a quality assurance
or quality control scheme that is insensitive to the variation,
autonomy, and trust implicit in health care. But it should not
be beyond human wit to keep it simple, while providing a
framework within which the quality of care may be studied,
discussed, protected and improved. That will require
encouragement, experiment, and the sharing of ideas. It will
call for a mixture of assessment methods tailored to an
understanding of the multidimensional nature of quality
itself.”
Maxwell, R.(1984) Quality Assessment in Health. British Medical Journal.
Vol.228.

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